Arizona Couple Sentenced to Prison Over “Skin Substitute” Fraud – Judge Called Them “Criminally Greedy”

Arizona Couple Sentenced to Prison Over “Skin Substitute” Fraud – Judge Called Them “Criminally Greedy”

Alexandra Gehrke and her husband, Jeffrey King of Arizona pleaded guilty to over $1.2 billion of false and fraudulent Medicare and other insurance claims for, “expensive, medically unnecessary wound grafts that were applied to elderly and terminally ill patients.” The...
The Devil is in the (Contractual) Details: Avoiding Potential Kickbacks in the World of Skin Substitutes (Guest Blog by David Traskey)

The Devil is in the (Contractual) Details: Avoiding Potential Kickbacks in the World of Skin Substitutes (Guest Blog by David Traskey)

I recently reviewed with interest the press releases and case summaries issued by the Department of Justice (DOJ) related to individuals charged in the 2025 National Health Care Fraud Takedown for their involvement in the “skin substitutes” space.““` With...
More Info on the Individuals Indicted by the DOJ Around the Use of “Skin Substitutes”

BREAKING NEWS in the DOJ Press Conference! More Skin Substitute / Cellular Tissue Product (CTP) Fraud Indictments

Today the Department of Justice (DOJ) held a press conference which was led by Dr. Mehmet Oz, the Administrator of the Centers for Medicare and Medicaid (CMS) and officials from the DOJ, announcing the results of its 2025 National Health Care Fraud Takedown. The...
Houston Podiatrist and Business Partner Charged with $45 Million in Healthcare Fraud Related to “Skin Substitutes”

Houston Podiatrist and Business Partner Charged with $45 Million in Healthcare Fraud Related to “Skin Substitutes”

The Houston Chronicle has reported that a Houston podiatrist and his business partner have been charged with $45 million in healthcare fraud in relation to the billing of bioengineered skin substitutes  Dr. David Jenson and Nestor Refael Romero Magallanes are...
BREAKING NEWS: Wound Care Company Owners Plead Guilty to $1.2 B in Fraudulent Claims for Amniotic Products and Face Prison

BREAKING NEWS: Wound Care Company Owners Plead Guilty to $1.2 B in Fraudulent Claims for Amniotic Products and Face Prison

Office of Public Affairs | Arizona Couple Pleads Guilty to $1.2B Health Care Fraud | United States Department of Justice The Department of Justice (DOJ) office of public affairs has announced that on October 24, 2024, Alexandra Gehrke pleaded guilty to conspiracy to...
How Much About Access to Care With “Skin Substitutes” is Around Cost (and Will the LCDs Actually Make That Better for Patients)?

How Much About Access to Care With “Skin Substitutes” is Around Cost (and Will the LCDs Actually Make That Better for Patients)?

A lot is being said about the way that the new LCD(s) around Cellular Tissue Products (CTPs) / skin substitutes might impact access to care. A big issue is around product choice and ensuring that there is a large enough suite of covered products from which physicians...